A 28-year-old primigravida at 34 weeks develops BP 158/105 mmHg, urine protein 3+ on dipstick, and platelet count of 88,000/µL. Serum AST is 112 U/L. Which criterion distinguishes her diagnosis from uncomplicated severe pre-eclampsia?
- A Thrombocytopenia below 100,000/µL ✓
- B Proteinuria exceeding 5 g in 24 hours
- C Diastolic BP ≥ 105 mmHg on two occasions
- D Gestational age less than 36 weeks
Correct answer: A. Thrombocytopenia below 100,000/µL
Explanation
This patient has HELLP syndrome, defined by Hemolysis, Elevated Liver enzymes, and Low Platelets. Thrombocytopenia below 100,000/µL is the hallmark distinguishing HELLP from uncomplicated severe pre-eclampsia. Proteinuria and diastolic BP thresholds are shared features of severe pre-eclampsia and do not differentiate HELLP.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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